Introduction: Femoral neck fractures are one of the most common fractures
primarily the elderly, coupled with a high degree of morbidity and mortality.
The treatment is applied a number of methods of internal fixation (multiple
cannulated screws available, DHS system, cefalomedullary). At the Department
of Orthopedics and Traumatology of Nis developed a new method of fixation of
femoral neck fracture, which allows stable fixation of dislocated and
nondislocated femoral neck fracture. Self-tapping antirotation fixation (SAF)
using two cannulated screws to initial compression fractures intraoperative
and postoperative dynamic linear compression of the fracture with early full
support to the patient. Matherial and methods: In the period between 2008 to
2012, 53 patients treated for femoral neck fracture in the Clinic for
orthopedic and traumatology, Clinical center in Nis, Serbia, by SAF (the
self-tapping cannulated screws antirotation; ORTOKON doo Nis). All patients
were followed up after surgery in a minimum period of 13 weeks (13-106
weeks). The outcome was evaluated on the basis of clinical and radiological
signs of fracture healing and the Harris hip score of functional recovery of
the patient. Results: Of the total number of patients (53) treated with this
method of fixation, 31 of them were females and 22 males, mean age 52.7 years
(28-75 years). The average time of surgery was 36.4 minutes (19-70 minutes).
During the postoperative follow-up of all patients (53) operated by this
method, six patients were lost in the further postoperative monitoring, so
that 47 patients remained for final evaluation. The total incidence of
nonunion of femoral neck fracture after surgery this method was 6.4% (three
patients). Shortening of the femoral neck after fixation by this method was
recorded in 27 cases, and what amounted to an average of 2.8 mm (1, 2 mm in
nondislocated to 4.55 with dislocated fracture) and did not affect the
functional outcome. During radiographic follow-up was not detected fracture
implants. Conclusion: Self-tapping screws cannulated antirotacioni (SAF
method) represent a reliable method of fixation of dislocated and
nondislocated femoral neck fracture. The main prerequisite for the proper
healing of femoral neck fractures with this method is that anatomical
fracture reduction is achieved by a closed or open method. This way of
fixation allows the early full weight bearing patient operated limb and
faster postoperative functional recovery of the fracture healing in optimal
time.
Imaging observation of percutaneous compression plate use in promoting femoral neck fracture healing
